Federal inspection record · CMS data as of October 1, 2026

North Shore Health

515 - 5th Avenue West, Grand Marais, MN · (218) 387-3040

CMS overall rating

4 of 5

Compare with a nearby home →
Certified beds
37
Residents per day
30
Ownership
Government
Chain
No chain reported
Medicare / Medicaid
Medicare + Medicaid
Certified since
January 1, 1987

1

How this home got 4 stars

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Minnesota.

  2. Staffing

    no change

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    4 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Minnesota homes

North Shore Health carries 10 inspection points. That is fewer than 86% of Minnesota's 335 rated homes.

5★4★3★2★1★+11 homes above 194.7505102550100inspection points → fewer is better on the leftThis home · 10 pts · 4★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Minnesota: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–9 pts
  • 4★ 9–30 pts
  • 3★ 30–54 pts
  • 2★ 54–92 pts
  • 1★ over 92 pts

Bars show every rated home in Minnesota by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

8 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 6 4 pts
E 1 8 pts
F 0 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 1 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

No citation on record at the harm or immediate-jeopardy level.

Everything else, by area of care

Resident Assessment and Care Planning2D
  1. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    May 27, 2026 · Standard · F656 · Corrected June 19, 2026

  2. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    July 31, 2025 · Standard · F656 · Corrected September 2, 2025

Quality of Life and Care2D
  1. D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    May 27, 2026 · Standard · F684 · Corrected June 19, 2026

  2. D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    August 1, 2024 · Standard · F684 · Corrected August 30, 2024

Resident Rights2E
  1. E

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    July 31, 2025 · Standard · F628 · Corrected September 19, 2025

  2. D

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    August 1, 2024 · Standard · F582 · Corrected August 30, 2024

Infection Control2D
  1. D

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    July 31, 2025 · Standard · F883 · Corrected September 19, 2025

  2. C

    Provide and implement an infection prevention and control program.

    July 31, 2025 · Standard · F880 · Corrected September 3, 2025

Inspection history

  1. 2026-05-27

    2 health deficiencies · 3 fire-safety deficiencies

    Top issue: Quality of Life and Care (1 deficiency)

  2. 2025-07-31

    4 health deficiencies · 6 fire-safety deficiencies

    Top issue: Infection Control (2 deficiencies)

  3. 2024-08-01

    2 health deficiencies · 3 fire-safety deficiencies

    Top issue: Quality of Life and Care (1 deficiency)

4

Nursing time per resident, per day

Each resident here gets about 4 h 14 min of nursing staff time a day, 1 h 47 min of it from a registered nurse.

This home

4 h 14 min

Minnesota average

4 h 16 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 68% of nursing staff and 47% of registered nurses left in the past year.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine0.1 pts worse97.2%97.3%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3.6 pts better100.0%96.4%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury0.4 pts better3.7%4.1%3.2%
Percentage of long-stay residents who have depressive symptoms4.2 pts worse8.3%4.1%13.5%
Percentage of long-stay residents who lose too much weight4.6 pts worse8.5%3.9%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication6.2 pts worse18.9%12.7%19.5%
Percentage of long-stay residents who received an antipsychotic medication1.8 pts better15.4%17.2%15.4%
Percentage of long-stay residents who were physically restrained0.1 pts better0.0%0.1%0.1%
Percentage of long-stay residents whose ability to walk independently worsened2.8 pts better16.0%18.8%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased12 pts worse30.2%18.2%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better1.4%1.7%0.7%
Percentage of long-stay residents with a urinary tract infection3.9 pts worse6.5%2.6%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence9.6 pts worse33.3%23.7%18.3%
Percentage of long-stay residents with pressure ulcers0.4 pts better4.7%5.1%4.5%

·

Who owns and runs it

7 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Cook County Hospital DistrictOperational/Managerial Control · Organization0%1 facilities
Hansen, CatherineOperational/Managerial Control · Individual0%1 facilities
Hansen, CatherineAdp Of The SNF · Individual0%1 facilities
Larock -Muggley, DeidreAdp Of The SNF · Individual0%1 facilities
River Of Life RehabAdp Of The SNF · Organization0%1 facilities
Wraalstad, KimberOperational/Managerial Control · Individual0%1 facilities
Wraalstad, KimberAdp Of The SNF · Individual0%1 facilities

·

Fire safety

12 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke5F
  1. E

    Inspect, test, and maintain automatic sprinkler systems.

    May 27, 2026 · K353 · Corrected June 15, 2026

  2. F

    Inspect, test, and maintain automatic sprinkler systems.

    July 31, 2025 · K353 · Corrected September 3, 2025

  3. D

    Have approved installation, maintenance and testing program for fire alarm systems.

    July 31, 2025 · K345 · Corrected September 3, 2025

  4. F

    Inspect, test, and maintain automatic sprinkler systems.

    August 1, 2024 · K353 · Corrected October 10, 2024

  5. F

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    August 1, 2024 · K372 · Corrected August 9, 2024

Miscellaneous3F
  1. F

    Have simulated fire drills held at unexpected times.

    May 27, 2026 · K712 · Corrected June 5, 2026

  2. F

    Have simulated fire drills held at unexpected times.

    July 31, 2025 · K712 · Corrected September 1, 2025

  3. F

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    July 31, 2025 · K761 · Corrected September 1, 2025

Gas, Vacuum, and Electrical Systems3F
  1. F

    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

    July 31, 2025 · K914 · Corrected September 1, 2025

  2. D

    Have generator or other power source capable of supplying service within 10 seconds.

    July 31, 2025 · K918 · Corrected September 15, 2025

  3. F

    Have generator or other power source capable of supplying service within 10 seconds.

    August 1, 2024 · K918 · Corrected October 10, 2024

Egress1F
  1. F

    Have corridors or aisles that are unobstructed and are at least 8 feet in width.

    May 27, 2026 · K232 · Corrected June 8, 2026

·

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